About this trial
The purpose of this 2-site (CT, AL) study is to test innovative interventions to reduce stigma and improve the pre-exposure prophylaxis (PrEP) and opioid use disorder (OUD) care continua in women involved in the criminal justice system (WICJ).
This study evaluates a newly validated PrEP decision aid and eHealth for integrated PrEP and MOUD compared to a decision aid-only for WICJ with OUD.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
woman
have access to a working mobile or landline phone
Lifetime CJ-involvement (probation, parole, intensive pretrial or community supervision, or release from prison/jail)
are confirmed HIV-negative by point-of-care 3rd generation HIV antibody test
Disqualifiers
unable or unwilling to provide informed consent
pregnant or breast-feeding
currently taking PrEP at the time of study enrollment
not comfortable conversing in English or Spanish.
Trial design
Parallel
Treatments tested in this trial
Decision Aid
BehavioralDecision aid for PrEP tailored for justice-involved women with opioid use disorder
Athena strategy
Combination producteHealth for integrated PrEP/medications for opioid use disorder + decision aid
Treatment groups
Trial outcomes
Primary outcomes
Number of participants who initiate PrEP
PrEP in initiation will be determined using dates of prescription and pharmacy fill and medication type (brand/generic)
Secondary outcomes
Number of participants who are adherent to PrEP
PrEP adherence will be assessed using a urine assay for measuring tenofovir levels (single point of care qualitative immunoassay reflecting past 48-hour adherence), where a positive test results indicates adherence.
Number of participants who engage in opioid use disorder treatment
The opioid use disorder treatment cascade engagement is composed of and defined by: 1) initiation of medications for opioid use disorder (or other evidence-based treatment); 2) 6-month retention on treatment; and 3) remission. The study will assess for complexity of substance use disorder treatment (e.g., court mandated vs. voluntary, behavioral vs. MOUD, residential vs. outpatient, detoxification program, etc.).
Sponsors and contacts
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Yale University
Lead sponsor
National Institute on Drug Abuse (NIDA)
Collaborator